Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $50.83 / $80.68	Facility		$50.83	$50.83	$80.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $63.53 / $85.39	Professional		$36.04	$63.53	$85.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $103.66 / $103.66	Professional		$78.93	$103.66	$103.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $123.00	Professional		$45.55	$45.55	$123.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $103.66 / $196.95	Professional		$95.37	$103.66	$196.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $50.83 / $80.68	Facility		$50.83	$50.83	$80.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $63.53 / $98.02	Professional		$45.10	$63.53	$98.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $147.80 / $204.20	Professional		$128.50	$147.80	$204.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $123.00	Professional		$45.55	$45.55	$123.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $98.66 / $98.66	Facility		$74.11	$98.66	$98.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.11 / $98.66 / $101.09	Professional		$74.11	$98.66	$101.09
United Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $51.71 / $93.48	Professional		$39.22	$51.71	$93.48